踝关节骨折的手术及康复治疗

[目的]总结踝关节骨折的手术及康复方法及治疗效果。[方法]自1999年1月～2004年10月共手术治疗踝关节骨折患者126例，男81例，女45例，平均年龄36岁。根据Danis—Weber分类，A型12例，B型86例，C型28例。采用Baird—Jackson系统评价临床疗效，随访1～5a，平均18个月。[结果]优65例（52％），良44例（35％），可11例（9％），差6例（5％），优良率为86．51％。[结论]手术治疗可取得满意的解剖复位，结合康复治疗可取得更好的临床疗效。其中手术时机、骨折分型、手术方法及康复治疗对于踝关节骨折的远期疗效十分重要。

Surgical treatment of ankle joint fracture and rehabilitation

[ Objective] To evaluate the surgical techniques, rehabilitation and the results of internal fixation performed for ankle joint fracture. [ Method] One hundred and twenty-six patients with ankle joint fractures were treated with open reduction and internal fracture. According to the Danis-Weber classification,there were 12 cases of type A, 86 cases of type B, 28 cases of type C. The follow-up interview period varied from one year to five years, with an average of eighteen months. [ Result ] The number of patients whose results was better, good, fair and poor was 65,44, 11 and 6. The total percent-age of good to better clinical results was 86. 51%. [ Conclusion] Operative treatment and rehabilitation may provide satisfactory fracture reduction and clinical results for ankle joint fracture. The opportunity selection ,correct fracture pattern estimation, proper internal fixation and rehabilitation are important to achieve better long term results.